Hi ive had a large, what i think and hope is just an ulcer, in my mouth now for about 2-3 weeks and it does not appear to be going. Ive tried applying treatment such as bonjela but this has done nothing. Im from the uk but im currently holidaying the US before going travelling for a year - not the best time for this happen! Ive recently started taking sertralina and propanolol for anxiety - could this be a reaction? The 'ulcer' is not sore at all just rather large and not low lying and some what annoying. Any help appreciated.
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replied December 16th, 2017
Hi, and thanks for your query on eHealth forum!

Mouth ulcers due to iron and Vit B deficiency or poor oral hygiene, or could be due to Herpes infection or could be the result of abrasion from a mal-aligned tooth or an old tooth brush. Viral and upper respiratory infections too can cause mouth ulcers. Almost all these causes result in multiple ulcers.

Since you have a single large mouth ulcer, check the tooth next to it, if it is in gum next to tooth. Repeated injury from a tooth can cause an ulcer to persist.

A severe gastric reflux can also cause mouth ulcer to form due to chemical burns from gastric acids. Smoking and spicy food can also cause an ulcer to persist.You can take antacids and see if helps.

It is unlikely to be the side effect of the medications you are taking.

It is difficult to comment beyond this at this stage. Take iron and multivitamin pill and see if it helps. Change your tooth brush. Practice good oral hygiene. Test for Herpes. Avoid spicy and too hot food. Do consult your PCP and a dentist when you go back to UK.

Please consult your healthcare provider for further guidance. This reply to your query is just for education and counseling purposes and cannot be an alternative to actual visit and treatment by a doctor who can examine you. Hope this helped you in making an informed decision about your health. Take care!

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